Individual
DR. J SCOTT TRAVELSTEAD
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD, PC
Contact information
Practice address
1823 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 754-6400
(541) 758-2081
Mailing address
1823 NW KINGS BLVD, CORVALLIS, OR 97330-1907
(541) 754-6400
(541) 758-2081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D7300
IL
1223G0001X
General Practice Dentistry
Primary
D7300
OR
Other
Enumeration date
07/07/2005
Last updated
07/08/2007
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